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  • Dental Caries

    Dental caries, also known as tooth decay or a cavity, is an infection, bacterial in origin, that causes demineralization and destruction of ...

  • Space Maintainer

    Dental space maintainers can help keep the space for an adult tooth open if the baby tooth has been lost too early...

  • Teeth Whitening

    Whitening, or "tooth bleaching", is the most common cosmetic dental procedure. While many whitening options are now available, including ove...

  • Laser Root Canal Treatment

    Laser technology was introduced to endodontics with the goal of improving the results obtained with traditional procedures through the use o...

  • Immediate Implants

    Immediate implants are an increasingly common strategy to preserve bone and reduce treatment times which includes the placement of a dental...

  • Impaction

    An impacted tooth is one that fails to erupt into the dental arch within the specific time. Because impacted teeth do not erupt, they ar...

  • Operculectomy

    Operculectomy is a minor surgical procedure where the affected soft tissue covering and surrounding the tooth is removed. This leaves an ar...

  • Lip Lengthening

    Lip Lengthening is an in-office clinical procedure carried out under local anesthesia (freeze up), which can be helped with the aid of a re...

  • Biopsy

    A biopsy is a simple surgery that removes samples of soft tissue or bone from the body. In the case of dentists, this may be gum tissue, a t...

  • Facial Esthetic Surgeries

    Facial cosmetic surgery has long been the solution of choice for the correction of physical malformations resulting from aging, disease, inj...

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Periapical Lesions

Departments: Oral Medicine And Radiology

Periapical lesions often develop slowly and do not become very large. Patients do not experience pain unless there is acute inflammatory exacerbation. These lesions are often diagnosed during routine radiographic exams. Some periapical lesions become large and, in cases of large radiolucencies, they may be diagnosed in the absence of any patient complaint. Sometimes, symptoms such as mild sensitivity, swelling, tooth mobility and displacement may be observed in these cases.

Large periapical lesions are often associated with anterior maxillary teeth, probably due to traumatic injuries. These lesions could be classified as granulomas, pocket cysts (also called bay cysts) and true cysts. Granulomas are usually composed of solid soft tissue, while cysts have a semi-solid or liquefied central area usually surrounded by epithelium.Pocket cysts have an epithelial lining that is connected with the root canal, and true cysts are completely lined with epithelium and not connected with the root canal.